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Individual

JACLYN DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
127 N CHESTNUT ST, ASSUMPTION, IL 62510-1003
(217) 226-3335
Mailing address
127 N CHESTNUT ST, PO BOX 61, ASSUMPTION, IL 62510-1003
(217) 226-3335

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.001409
IL

Other

Enumeration date
12/07/2010
Last updated
12/07/2010
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